A Framework for Evidence-Based Decision-Making

Tuesday, 13 July 2010: 8:30 AM

Marianne E. Olson, PhD, RN
Department of Nursing, Mayo Clinic, Rochester, MN
Sharon Tucker, RN
Department of Nursing, Division of Nursing Research, Mayo Clinic, Rochester, MN

A Framework for Evidence-Based Decision-Making was developed from qualitative descriptions of 430 nurse leaders from one large multi-state/multi-site medical center in the U.S. Each nurse leader participated in a 30-60 minute private interview wherein they were asked to describe evidence-based practice as an approach to decision-making. Descriptive qualitative iterative analysis over an 18-month period resulted in a 6-step Framework for Evidence-Based Decision-Making. The Framework captures the interplay of six processes that serve as the essential precursor to embedding best evidence in practice. The Framework is currently used across one organization’s diverse clinical practice settings – inpatient/acute care and ambulatory/procedural - in 97 physical locations in the U.S. The Framework is utilized by over 10,000 nurses to foster an understanding of the complexity inherent in evidence-based decision-making.
The goal of this session is to introduce the Framework for Evidence-Based Decision-Making as essential infrastructure to support to evidence-based practice in the clinical setting. Common approaches in existing EBP models and frameworks purport a four or five step approach. This session will demonstrate how the six interrelated processes in this unique Framework fill a void in understanding complexity and facilitates evidence-based decision-making processes, opportunities, and addresses known challenges in evidence-based decision-making. Practical examples will be shared to demonstrate practical application of the Framework as a tool to engage nurses with varied levels of education preparation in evidence-based decision-making. Finally, implications for research, practice, and education utilizing the Framework for Evidence-Based Decision-Making will be explored.

At the completion of this session, the participant will be able to: 1) define evidence-based practice as an approach to decision-making; 2) identify the six processes in the Framework for Evidence-Based Decision-Making.